Document Detail


Swallowing dysfunction in very low birth weight infants with oral feeding desaturation.
MedLine Citation:
PMID:  22015726     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: We detected swallowing dysfunction by the modified barium swallow (MBS) test and determined risk factors for swallowing dysfunction in very low birth weight (VLBW) infants with oral feeding desaturation near discharge.
METHODS: We retrospectively reviewed 41 VLBW infants referred for MBS test because of significant oral feeding desaturation at ≥35 weeks of postmenstrual age. Infants who showed impaired airway protection, including inadequate epiglottic closure, laryngeal penetration and/or tracheal aspiration by MBS test, were compared to those without impaired airway protection.
RESULTS: Eleven infants (26.8%) showed impaired airway protection by MBS test. They had a significantly lower gestational age at birth but a similar postmenstrual age compared to those without impaired airway protection. All infants with impaired airway protection were born at ≤28 weeks of gestation.
CONCLUSIONS: Swallowing dysfunction resulting in aspiration should be considered as a cause of significant oral feeding desaturation in infants born at ≤28 weeks of gestation regardless of postmenstrual age.
Authors:
Jang Hoon Lee; Yun Sil Chang; Hye Soo Yoo; So Yoon Ahn; Hyun Joo Seo; Seo Hui Choi; Ga Won Jeon; Soo Hyun Koo; Jong Hee Hwang; Won Soon Park
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Publication Detail:
Type:  Journal Article     Date:  2011-10-20
Journal Detail:
Title:  World journal of pediatrics : WJP     Volume:  7     ISSN:  1867-0687     ISO Abbreviation:  World J Pediatr     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101278599     Medline TA:  World J Pediatr     Country:  China    
Other Details:
Languages:  eng     Pagination:  337-43     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
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